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MSN Exam for Bell's Palsy (PM)
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Question 1
Bell’s palsy is a form of facial paralysis caused by a dysfunction of the 8th cranial nerve.
A
False
B
True
Question 1 Explanation:
Bell’s palsy results from a dysfunction of the 7th or facial cranial nerve.
Question 2
The nurse is aware that Bell’s palsy affects which cranial nerve?
A
3rd CN (Occulomotor)
B
2nd CN (Optic)
C
4th CN (Trochlear)
D
7th CN (Facial)
Question 2 Explanation:
Bells’ palsy is the paralysis of the motor component of the 7th cranial nerve, resulting in facial sag, inability to close the eyelid or the mouth, drooling, flat nasolabial fold and loss of taste on the affected side of the face.
Question 3
When the nurse performs a neurologic assessment on Anne Jones, her pupils are dilated and don’t respond to light.
A
Bell’s palsy
B
glaucoma
C
damage to the lumbar spine
D
damage to the third cranial nerve
Question 3 Explanation:
The third cranial nerve (oculomotor) is responsible for pupil constriction. When there is damage to the nerve, the pupils remain dilated and don’t respond to light. Glaucoma, lumbar spine injury, and Bell’s palsy won’t affect pupil constriction.
Question 4
Which of the following diseases has not been directly linked with Bell’s palsy?
A
AIDS
B
Diabetes
C
Lyme disease
D
Alzheimer’s disease
Question 5
A male client with Bell’s palsy asks the nurse what has caused this problem. The nurse’s response is based on an understanding that the cause is:
A
Primarily genetic in origin, triggered by exposure to neurotoxins
B
Primary genetic in origin, triggered by exposure to meningitis
C
Unknown, but possibly includes long-term tissue malnutrition and cellular hypoxia
D
Unknown, but possibly includes ischemia, viral infection, or an autoimmune problem
Question 5 Explanation:
Bell’s palsy is a one-sided facial paralysis from compression of the facial nerve. The exact cause is unknown, but may include vascular ischemia, infection, exposure to viruses such as herpes zoster or herpes simplex, autoimmune disease, or a combination of these factors.
Question 6
The nurse has given the male client with Bell’s palsy instructions on preserving muscle tone in the face and preventing denervation. The nurse determines that the client needs additional information if the client states that he or she will:
A
Massage the face with a gentle upward motion
B
Exposure to cold and drafts
C
Wrinkle the forehead, blow out the cheeks, and whistle
D
Perform facial exercises
Question 6 Explanation:
Prevention of muscle atrophy with Bell’s palsy is accomplished with facial massage, facial exercises, and electrical stimulation of the nerves. Exposure to cold or drafts is avoided. Local application of heat to the face may improve blood flow and provide comfort.
Question 7
Oral steroids may help reduce the symptoms of a Bell’s Palsy.
A
True
B
False
Question 7 Explanation:
Oral steroids can improve outcome but need to be given early after the onset of symptoms.
Question 8
Failure of the eye to close properly can occur, which may result in damage to the cornea.
A
True
B
False
Question 8 Explanation:
To try and avoid corneal damage the lid can be taped shut at night and eye drops used to lubricate the eye.
Question 9
Bell’s palsy is a disorder of which cranial nerve?
A
Trigeminal (V)
B
Vagus (X)
C
Facial (VII)
D
Vestibulocochlear (VIII)
Question 9 Explanation:
Bell’s palsy is characterized by facial dysfunction, weakness, and paralysis. Trigeminal neuralgia is a disorder of the trigeminal nerve and causes facial pain.Meniere’s syndrome is a disorder of the vestibulocochlear nerve. Guillain-Barre syndrome is a disorder of the vagus nerve.
Question 10
Bell’s palsy can be associated with arm and leg weakness and difficulty finding the right words.
A
False
B
True
Question 10 Explanation:
These signs indicate a stroke and if present the patient needs urgent medical attention.
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MSN Exam for Bell's Palsy (EM)
Choose the letter of the correct answer. You got 10 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed MSN Exam for Bell's Palsy (EM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
Bell’s palsy is a disorder of which cranial nerve?
A
Facial (VII)
B
Vestibulocochlear (VIII)
C
Trigeminal (V)
D
Vagus (X)
Question 1 Explanation:
Bell’s palsy is characterized by facial dysfunction, weakness, and paralysis. Trigeminal neuralgia is a disorder of the trigeminal nerve and causes facial pain.Meniere’s syndrome is a disorder of the vestibulocochlear nerve. Guillain-Barre syndrome is a disorder of the vagus nerve.
Question 2
Which of the following diseases has not been directly linked with Bell’s palsy?
A
Diabetes
B
Alzheimer’s disease
C
Lyme disease
D
AIDS
Question 3
The nurse is aware that Bell’s palsy affects which cranial nerve?
A
4th CN (Trochlear)
B
3rd CN (Occulomotor)
C
7th CN (Facial)
D
2nd CN (Optic)
Question 3 Explanation:
Bells’ palsy is the paralysis of the motor component of the 7th cranial nerve, resulting in facial sag, inability to close the eyelid or the mouth, drooling, flat nasolabial fold and loss of taste on the affected side of the face.
Question 4
The nurse has given the male client with Bell’s palsy instructions on preserving muscle tone in the face and preventing denervation. The nurse determines that the client needs additional information if the client states that he or she will:
A
Massage the face with a gentle upward motion
B
Exposure to cold and drafts
C
Perform facial exercises
D
Wrinkle the forehead, blow out the cheeks, and whistle
Question 4 Explanation:
Prevention of muscle atrophy with Bell’s palsy is accomplished with facial massage, facial exercises, and electrical stimulation of the nerves. Exposure to cold or drafts is avoided. Local application of heat to the face may improve blood flow and provide comfort.
Question 5
Failure of the eye to close properly can occur, which may result in damage to the cornea.
A
False
B
True
Question 5 Explanation:
To try and avoid corneal damage the lid can be taped shut at night and eye drops used to lubricate the eye.
Question 6
Bell’s palsy can be associated with arm and leg weakness and difficulty finding the right words.
A
False
B
True
Question 6 Explanation:
These signs indicate a stroke and if present the patient needs urgent medical attention.
Question 7
Bell’s palsy is a form of facial paralysis caused by a dysfunction of the 8th cranial nerve.
A
False
B
True
Question 7 Explanation:
Bell’s palsy results from a dysfunction of the 7th or facial cranial nerve.
Question 8
When the nurse performs a neurologic assessment on Anne Jones, her pupils are dilated and don’t respond to light.
A
glaucoma
B
Bell’s palsy
C
damage to the lumbar spine
D
damage to the third cranial nerve
Question 8 Explanation:
The third cranial nerve (oculomotor) is responsible for pupil constriction. When there is damage to the nerve, the pupils remain dilated and don’t respond to light. Glaucoma, lumbar spine injury, and Bell’s palsy won’t affect pupil constriction.
Question 9
Oral steroids may help reduce the symptoms of a Bell’s Palsy.
A
False
B
True
Question 9 Explanation:
Oral steroids can improve outcome but need to be given early after the onset of symptoms.
Question 10
A male client with Bell’s palsy asks the nurse what has caused this problem. The nurse’s response is based on an understanding that the cause is:
A
Primarily genetic in origin, triggered by exposure to neurotoxins
B
Primary genetic in origin, triggered by exposure to meningitis
C
Unknown, but possibly includes long-term tissue malnutrition and cellular hypoxia
D
Unknown, but possibly includes ischemia, viral infection, or an autoimmune problem
Question 10 Explanation:
Bell’s palsy is a one-sided facial paralysis from compression of the facial nerve. The exact cause is unknown, but may include vascular ischemia, infection, exposure to viruses such as herpes zoster or herpes simplex, autoimmune disease, or a combination of these factors.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
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There are 10 questions to complete.
←
List
→
Return
Shaded items are complete.
1
2
3
4
5
6
7
8
9
10
End
Return
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
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Final Score on Quiz
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Total Questions on Quiz
Question Details
Results
Date
Score
Hint
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minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
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Text Mode
Text Mode – Text version of the exam
1) Oral steroids may help reduce the symptoms of a Bell’s Palsy.
True
False
2) A male client with Bell’s palsy asks the nurse what has caused this problem. The nurse’s response is based on an understanding that the cause is:
Unknown, but possibly includes ischemia, viral infection, or an autoimmune problem
Unknown, but possibly includes long-term tissue malnutrition and cellular hypoxia
Primary genetic in origin, triggered by exposure to meningitis
Primarily genetic in origin, triggered by exposure to neurotoxins
3) Bell’s palsy is a form of facial paralysis caused by a dysfunction of the 8th cranial nerve.
True
False
4) Failure of the eye to close properly can occur, which may result in damage to the cornea.
True
False
5) When the nurse performs a neurologic assessment on Anne Jones, her pupils are dilated and don’t respond to light.
glaucoma
damage to the third cranial nerve
damage to the lumbar spine
Bell’s palsy
6) The nurse is aware that Bell’s palsy affects which cranial nerve?
2nd CN (Optic)
3rd CN (Occulomotor)
4th CN (Trochlear)
7th CN (Facial)
7) Which of the following diseases has not been directly linked with Bell’s palsy?
AIDS
Diabetes
Lyme disease
Alzheimer’s disease
8) Bell’s palsy can be associated with arm and leg weakness and difficulty finding the right words.
True
False
9) The nurse has given the male client with Bell’s palsy instructions on preserving muscle tone in the face and preventing denervation. The nurse determines that the client needs additional information if the client states that he or she will:
Exposure to cold and drafts
Massage the face with a gentle upward motion
Perform facial exercises
Wrinkle the forehead, blow out the cheeks, and whistle
10) Bell’s palsy is a disorder of which cranial nerve?
Facial (VII)
Trigeminal (V)
Vestibulocochlear (VIII)
Vagus (X)
Answers and Rationales
A. True . Oral steroids can improve outcome but need to be given early after the onset of symptoms.
A. Unknown, but possibly includes ischemia, viral infection, or an autoimmune problem . Bell’s palsy is a one-sided facial paralysis from compression of the facial nerve. The exact cause is unknown, but may include vascular ischemia, infection, exposure to viruses such as herpes zoster or herpes simplex, autoimmune disease, or a combination of these factors.
B. False. Bell’s palsy results from a dysfunction of the 7th or facial cranial nerve.
A. True . To try and avoid corneal damage the lid can be taped shut at night and eye drops used to lubricate the eye.
B. damage to the third cranial nerve . The third cranial nerve (oculomotor) is responsible for pupil constriction. When there is damage to the nerve, the pupils remain dilated and don’t respond to light. Glaucoma, lumbar spine injury, and Bell’s palsy won’t affect pupil constriction.
D. 7th CN (Facial) . Bells’ palsy is the paralysis of the motor component of the 7th caranial nerve, resulting in facial sag, inability to close the eyelid or the mouth, drooling, flat nasolabial fold and loss of taste on the affected side of the face.
D. Alzheimer’s disease
B. False . These signs indicate a stroke and if present the patient needs urgent medical attention.
A. Exposure to cold and drafts . Prevention of muscle atrophy with Bell’s palsy is accomplished with facial massage, facial exercises, and electrical stimulation of the nerves. Exposure to cold or drafts is avoided. Local application of heat to the face may improve blood flow and provide comfort.
A. Facial (VII) . Bell’s palsy is characterized by facial dysfunction, weakness, and paralysis. Trigeminal neuralgia is a disorder of the trigeminal nerve and causes facial pain.Meniere’s syndrome is a disorder of the vestibulocochlear nerve. Guillain-Barre syndrome is a disorder of the vagus nerve.